| NPI | 1164949301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036168047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125077760) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2025-01-08 |